Presentation
Vomiting and severe abdominal pain.
Patient Data
Age: 12 years
Gender: Female
From the case:
Midgut volvulus
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significant distension of the stomach and duodenum
small bowel loops are in the right hemi-abdomen consistent with intestinal malrotation
twisted mesentery representing a whirlpool sign
inverted SMA/SMV relationship
mild free fluid within the peritoneal cavity
Case Discussion
The CT features are suggestive of midgut volvulus in the background of intestinal malrotation.
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